| Pratik Shah Dds Inc. | |
|
9415 Mission Blvd Ste# L Riverside CA 92509-2600 | |
| (951) 685-8500 | |
| (951) 685-8488 |
| Full Name | Pratik Shah Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9415 Mission Blvd, Riverside, California |
| Authorized Official Name and Position | Pratik M Shah (PRESIDENT) |
| Authorized Official Contact | 9516858500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pratik Shah Dds Inc. 9415 Mission Blvd Ste# L Riverside CA 92509-2600 Ph: (951) 685-8500 | Pratik Shah Dds Inc. 9415 Mission Blvd Ste# L Riverside CA 92509-2600 Ph: (951) 685-8500 |
| NPI Number | 1457422644 |
|---|---|
| Provider Enumeration Date | 11/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457422644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46959 (California) | Primary |
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